Questions to ask yourself before making big changes

A structured self-question guide to help caregivers slow down and make thoughtful decisions after a dementia diagnosis. Prevent rushed or fear-driven choices by asking the right questions first.

4 min read
Questions to ask yourself before making big changes

Big changes often come from fear

After a dementia diagnosis, it's natural to feel like everything needs to change immediately. Should we move? Quit working? Rearrange the entire house?

Sometimes big changes are necessary. But often, they're driven by fear or urgency rather than actual need.

Before making a major decision, it helps to slow down and ask yourself a few honest questions.

Is this decision reversible?

Some changes are easy to undo. Others aren't.

Trying a new daily routine? Easy to adjust. Selling the house? Much harder to reverse.

If a decision is permanent, give yourself more time to think it through. If it's reversible, you have more freedom to experiment. Sometimes all you need is practical caregiving support at home before committing to a bigger step.

Am I making this choice because I'm scared?

Fear is a natural response to a diagnosis. But it's not always the best guide for decision-making.

Ask yourself: Am I doing this because it solves a real problem right now? Or am I doing it because I'm afraid of what might happen later?

If the answer is fear, it might be worth waiting until you feel a little more grounded.

What problem am I actually trying to solve?

Sometimes we make big changes because we feel like we need to do something, even if we're not sure what the real problem is.

Before making a decision, write down the specific issue you're trying to address. Is it safety? Loneliness? Financial stress? Daily overwhelm?

Once you name the problem, you can often find smaller, less disruptive solutions. Creating a simple dementia care binder can be a good first step toward organizing what matters most.

Have I talked to the person this affects?

In early-stage dementia, your loved one is still here. They still have opinions, preferences, and a voice.

Before making a major change that affects their life, ask them how they feel about it. Even if the conversation is difficult, it matters.

You don't have to decide everything alone.

What would happen if I waited a month?

Not every decision needs to be made today.

If you're feeling uncertain, ask yourself: What would happen if I waited 30 days before deciding?

In most cases, waiting a little longer won't cause harm. But it might give you more clarity.

Who can I talk to about this?

Big decisions feel heavier when you carry them alone.

Is there someone you trust who can listen without pressuring you? A friend, a counselor, another caregiver who's been through this?

Sometimes just talking through your thinking out loud helps you see things more clearly.

What feels right when I'm calm?

Try this: imagine you're feeling calm and rested. Not panicked, not overwhelmed. Just steady.

From that place, what choice feels right?

If the answer changes when you're calm versus when you're anxious, that's useful information.

Is this the only option?

When we're stressed, we sometimes see only two choices: do this big thing, or do nothing.

But there's usually a middle path. A smaller version. A temporary experiment. Resources like the World Health Organization – Dementia page can help you understand what's truly urgent and what can wait.

Before committing to a major change, ask yourself if there's a less dramatic way to address the same need.

You're allowed to take your time

A dementia diagnosis doesn't mean you have to upend your entire life overnight.

Some changes will be necessary. But you get to decide when and how they happen.

You're allowed to pause. To wait. To think it through.

The right decision doesn't disappear if you take a breath first.

Written by

Margaret Collins

Margaret Collins

Clarity across time

Writer and digital memory strategist focused on long-term documentation, personal archives, and reflective systems. With experience in content design and knowledge management, her work explores how consistent, low-friction writing practices help individuals and families preserve meaning, context, and continuity over time.

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